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General NPI Number Information
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NPI Number | 1023088739
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Entity Type | Individual
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Provider Name | CAROL JEAN WILL CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 1236 HUFFMAN MILL RD STE. 2000
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-585-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 7809 DAIRY RIDGE RD
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City | MEBANE
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State | NC
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Zip | 27302-9281
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Country | US
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Telephone | 919-563-1099
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 081919
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License Number State | NC
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